Division of Occupational and Professional Licensing
Board of Nursing
SHANE CLARK FOWLKE
Nurse - Registered Nurse
License number
6118234-3102
Date granted
03/06/2007
Date expires
01/31/2015
Class
Nurse - Registered Nurse
Status
Active
Address
SPANISH FORK, UT 84660
nursingutah.org
ID 29863119
LAST UPDATED 2024-04-22 22:45:25 UTC
LAST UPDATED 2024-04-22 22:45:25 UTC
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